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APPL 1 / 7 CITY OF EVERETT <br />NO. / (L APPLICATION FOR WATELRR iSERVICE <br />E34IXED <br />DEPOSIT_ T(y //P//OS�TyI-,N�G/J�- <br />BLK. <br />SERVICE (BY woo •) OR <br />J<� <br />SE HVICE <br />ORDER IV ND 7622 <br />DATE_ <br />W. O. <br />CONTRACT <br />OWNE <br />3 F T <br />INSTAL REDS VICE �--� <br />1 HEREBY APPLY FOR SE OF WATER IN ACCORDANCE WITH THE _J <br />ORDINANCES AND POLICIES OF THE WATER DEPARTMENT NOW EXISTING SIGNED: <br />OR <br />AS SAME MAY BE HEREAFTER CHANGED -- PRICE <br />ORD <br />Y IN I IN 11 <br />MATERIALS <br />COPPER -- GALV. -- STEEL t-- -- <br />PIPE <br />CORPORATIOW — i I__ _— <br />CURB COCK OT <br />PLASTIC -- C 1 <br />SERVICE BOX <br />METER -- __- <br />TYPE:n`/ _ <br />METER No. d91 <br />- <br />METER BOX <br />CONCRETE SMALL LARGE _I <br />-- I <br />[V ON SUB TOTAL <br />❑ OFF <br />DATE INSTALLED: 7 —�b _ /� - HOURS RATE <br />LABOR AND EOUIPM ENf RENTAL <br />CODE I __ <br />a en on SerV C — <br />II <br />BackiloW Prevention COnSUIt-Itiao <br />TOTAL <br />REMARKS: <br />AMOUNT <br />